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I've been treated for depression by numerous doctors in different countries for 30 odd years.  Have another new doctor now but I really struggle when I'm asked what medications I've tried in the past.  I feel like the answer is "all of them at one time or another".  And it's true - I have certainly been on and off many and varied meds over the years.  The thing is I genuinely can't remember the names of most of them - most are drugs I tried and eventually discarded for lacking efficacy.  Add in the complication that I get confused by the multiple names by which meds can be known - and I'm really struggling.  I know what I'm on now - but really couldn't name any others (apart from Prozac - that one sticks in my mind but it was once such a well known drug and so synonymous with mental health). But honestly, my bet would be that I've tried well over a dozen different drugs - possibly 2 dozen. Then again, does it really matter ?  Maybe I should just go round the houses and again and if I try a drug that failed before - perhaps it won't fail a second time...........  To be honest, I'm at the point where I don't think I'm treatable anyway.   Feeling really shitty man and don't know where to turn.  Did anyone else eventually find the right drug by trial and error after more than half their lives had passed them by ?  Oh - and at least half a dozen counselors and therapists have had a go on me  over the years as well.......  I'm not going to **** myself, but only because I couldn't bare to think of the devastation it would cause to those who love me and who have suffered with me for so long... but falling asleep and not waking up through natural causes is starting to work its way up my personal wish list.

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Welcome to DF, rotjook.  :console: 

Reading your post and kind of wondering if I signed up under another username.....  I've fought depression since I was about 17, and I'm 49 now.  I finally found a way forward, mainly through treating my anxiety and working very heavily on 'cognitive traps', or basically correcting my way of thinking.  For me, anxiety is far more difficult to deal with than even feeling suicidal - the feeling is intolerable for me.  I can hang with d*ath, enjoy the scenery there and not be tempted to 'cross over'.  But give  me a weekend of nearly continuous panic attacks, or no way to 'escape' frequently recurring anxiety triggers - and I'm literally ready to Exit Stage Left if you know what I mean. 

I guess what I'm saying is that it is possible, don't give up.  Most of my progress has come just as much, if not more, from working on correcting faulty thinking as has come from finding meds that 'work' for me. 

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A similar story indeed.  Very nearly the same age as me - from the sounds of it, the same miserable battle.   When I'm sick I attach blame to everything I can - usually my job,  or where I'm living, or what other people are up to.  The thing is, my own situation has changed many, many times and none of the external changes I've made have ever made a blind bit of difference to my mental health.  Over the years, my own awareness has evolved though - it started off in my teenage years without any awareness that mental health was even a "thing".  Then , as one miserable episode followed another I came to a creeping realization that I was depressed.  Later I started suffering panic attacks and an overall concern for pretty much everything which was't in my power to change.  So, then I became depressed and anxious.  Still, the primary condition which I continued seeking treatment for was chronic, repeating episodes of depression.  I self medicated - first with booze , then with prescription pills and then with prescription pills and booze.  

I know you're right though - in the end, I think you learn from experience that the only real , permanent solution comes from within.  In many ways, I'm making more progress now than I have for most of my past.  I've starting to unpick the sheer the complexity of the human condition and have developed some insights which I feel should be useful.  About 18 months ago, I made a dramatic change in my consumption of booze.  Initially I intended to quit the bottle of ever.  I got around 6 months of sobriety - although in truth I really just turned my attentions to a pill abuse.  Eventually, I drifted back to the booze, a little despondent that it had precipitated a step change in overall happiness.  In fact, apart from the obvious misery of the hangover,  sobriety made not one jot of difference to my overall outlook. But, - to be fair - a couple of minor episodes aside ,  I have largely kept myself free from major alcoholic binges.  So - that's good.  Neither am I now taking excessive quantities of my prescribed medication in pursuit of something which might take me away from my awful,  excruciating and desperate mind.  I had developed a theory that any form of significant change was a trigger for a depressive episode.  I had notable such episodes for example, when I left school, when I began university, when I started work, when I changed work, when I got married, when I had kids.  Each time something changed, I would attach my depression to it.  I was studying the wrong subject, I was living in the wrong place, I was in the wrong job....

I now think, the triggers are far more subtle.  Thinking back, only now, I realize that in my childhood I demonstrated classic OCD - bedtime rituals mainly but other obsessions too.  Nothing too serious or damaging and in general most of these obvious, outward obsessive traits have diminished.  However, thinking about recent patterns of my depression - it seems to me that even minor disruptions to my regular routines, precipitate unpleasant, dark thoughts.  Summer holidays when the kids on holiday and everyone is home during the day; Christmas time when the family comes temporarily together in one place, travelling whether for work or for "pleasure".  Anything that disrupts what I know and what's familiar.  The depression can cycle fairly rapidly too - sometimes just a matter of weeks between the ups and the downs.  Never considered the possibility of bi-polar before but , having researched that too - I'm leaning towards the possibility of bi-polar II.  No real manic episodes but , reflecting on things, when I'm not depressed I do have a tendency towards compulsions , grand gestures and purchases which are uncomfortably expensive.

So here I am and so what ??  I've had depression and anxiety all my life and sometimes it's gotten so bad all I want is for it all stop. I've even fantasized about the idea of a reversible death - just check our for a few years , maybe return when everything was better in the world,..... how odd is that ?  Now I think I have a complex condition of anxiety, ocd and depression which may or may not have bi-polar characteristics.  But what use is the insight ?  I still feel shit and I still haven't found a way to feel less shit.  All I know is that it will eventually swing back again.  Not to happiness per se - never that I don't think. But it will swing back to something which is, at least, not as bad as wanting to die. And then I wait...... wait for it all to repeat.  With each major cycle, I back with a new doctor - trying a new dose of this that or the other.  The uptick comes - but I now suspect it happens of it's own accord.  Randomly, uncontrollably - after all, disruption to everyday routine is what just happens in life - for everyone, in every generation. I really do wonder about the efficacy of anything I've ever taken.  Maybe one day, I will find the magic bullet.  The right anti-depressant, something new - ketamin, psychedelics, ETC....... a job I love, a town full of friends, a fairer, saner society where  all the madness has been been removed and everyone shares my own political philosophies....... 🙂

For now, the battle goes on - the poke and hope approach to mental health.  Maybe one day the light will stay on.....at least until it's switched off forever,

Anyway, always good to get if off my chest - thank you if you stuck with the self indulgence ! 

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I don't think knowing who and why you are is self-indulgent. 😉 

I can identify with a lot of what you talk about - especially the bits about routines.  My 'swings' have more to do with anxiety I think than bipolar, though.  When I'm anxious I feel much like I am strapped to the front of an out of control freight train heading over a cliff - like that one scene in Back to the Future 3.  Thank you for sharing part of your story - I know many will indentify with it!

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Hi and welcome. Like you and others I have been treated with different meds and therapy on and off over the past 40 years. 

I have finally found a good therapist who actually helps me find ways to change my negative ruminations. I have done the genetic testing to see how the different drugs respond and which will not work.  I also see a psychiatrist for medication management. I also practice yoga and use guided meditations to alleviate some of the anxiety.

I hope you will find the solution; for me it took a lot of hit and miss before I found what works for me. 

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On 1/1/2020 at 6:49 PM, rotjook said:

I've been treated for depression by numerous doctors in different countries for 30 odd years.  Have another new doctor now but I really struggle when I'm asked what medications I've tried in the past.  I feel like the answer is "all of them at one time or another".  And it's true - I have certainly been on and off many and varied meds over the years.  The thing is I genuinely can't remember the names of most of them - most are drugs I tried and eventually discarded for lacking efficacy.  Add in the complication that I get confused by the multiple names by which meds can be known - and I'm really struggling.  I know what I'm on now - but really couldn't name any others (apart from Prozac - that one sticks in my mind but it was once such a well known drug and so synonymous with mental health). But honestly, my bet would be that I've tried well over a dozen different drugs - possibly 2 dozen. Then again, does it really matter ?  Maybe I should just go round the houses and again and if I try a drug that failed before - perhaps it won't fail a second time...........  To be honest, I'm at the point where I don't think I'm treatable anyway.   Feeling really shitty man and don't know where to turn.  Did anyone else eventually find the right drug by trial and error after more than half their lives had passed them by ?  Oh - and at least half a dozen counselors and therapists have had a go on me  over the years as well.......  I'm not going to **** myself, but only because I couldn't bare to think of the devastation it would cause to those who love me and who have suffered with me for so long... but falling asleep and not waking up through natural causes is starting to work its way up my personal wish list.

Counsellors and therapists usually tell you how to cope with the issues. Not how to overcome the issues, You should try a pastor, i dont think you have tried that yet. Sometimes medication doesnt work straight away, and that it takes time to work. Your body has to adjust to the medication. You also need to look at what is making you depressed and try to deal with it and bring closure on it somehow.

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